DR. SUSAN RALSTON (NPI# 1487035028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487035028 |
| Entity Type | Individual |
| Full Name | DR. SUSAN RALSTON |
| Credential | PH.D. |
| Practice Address |
260 S Los Robles Ave Ste 102 Pasadena CA 91101-2869 |
| Practice Telephone | 6267956972 |
| Practice Fax Number | 8182496322 |
| Mailing Telephone | 6267956972 |
| Mailing Fax Number | 8182496322 |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY8345 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639389695 | Susan Ralston | Speech-Language Pathologist | 1962 Vandolah Rd, Wauchula, FL 33873-8726 | 2007-05-22 |
| 1902996390 | Susan Marie Ralston | Pharmacist | 1809 S Main St, Upland, IN 46989 | 2006-10-13 |
| 1285616292 | Susan C Ralston | Nurse Practitioner | 9165 W Thunderbird Rd, Suite 101, Peoria, AZ 85381-4847 | 2005-11-16 |
| Street Address |
260 S LOS ROBLES AVE STE 102 |
| City | PASADENA |
| State | CA |
| Zip Code | 91101-2869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696404 | Sophia Ting-jan Liang | Student in an Organized Health Care Education/Training Program | 98 S. Los Robles Ave., Kaiser Permanente Bernard J. Tyson School of Medicine, Pasdena, CA 91101 | 2020-07-17 |
| 1851917033 | Casa De Las Amigas | Lodging | 173 N Oak Knoll Ave, Pasadena, CA 91101 | 2020-06-23 |
| 1467076869 | Tong Qi | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard Kj. Tyson School of Medicine, Pasadena, CA 91101 | 2020-06-01 |
| 1386267839 | Kelly B Shriver | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S. Los Robles, Pasadena, CA 91101 | 2020-05-19 |
| 1427600758 | Brooke Danielle Pechman | Marriage & Family Therapist | 221 E Walnut Street, Suite 138, Pasadena, CA 91101 | 2019-07-16 |
| 1952897563 | Robert Howes Hambleton | Dentist | 200 S. Oak Knoll Ave #201, Pasadena, CA 91101 | 2018-07-06 |
| 1801306774 | Joseph Hendrix | Social Worker | 1500 South Mcdonnell Avenue, Commerce, CA 91101 | 2017-10-05 |
| 1730606070 | Candice Anne Watson | Nurse Practitioner | 350 South Madison Ave #322, Pasadena, CA 91101 | 2017-08-28 |
| 1700320223 | Jenny H. Pak | Psychologist | 180 N. Oakland Ave., Pasadena, CA 91101 | 2016-12-19 |
| 1578005401 | James Maddox | Student in an Organized Health Care Education/Training Program | 447 El Molino Ave, Pasadena, CA 91101 | 2016-11-09 |
| Find all providers in zip 91101 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
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|---|---|---|---|---|
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| 1578872834 | Vivian L. Tamkin | Psychologist | 681 E Walnut St, Pasadena, CA 91101-1635 | 2010-10-04 |
| 1912035775 | Institute for Girls' Development | Psychologist | 95 N Marengo Ave Ste 205, Pasadena, CA 91101-1755 | 2007-03-01 |
| 1548613607 | Marquita L. Stokes | Psychologist | 595 E Colorado Blvd Ste 324, Pasadena, CA 91101-2021 | 2016-07-13 |
| 1740686336 | Salus Psychology | Psychologist | 595 E Colorado Blvd, Suite 318, Pasadena, CA 91101-2039 | 2014-11-10 |
| 1518288570 | Pasadena Child Development Associates | Psychologist | 620 N Lake Ave, Pasadena, CA 91101-1220 | 2010-06-14 |
| 1477751105 | Linda Mans Wagener | Psychologist | 180 N Oakland Ave, School of Psychology, Pasadena, CA 91101-1714 | 2007-07-03 |
| 1992916134 | Cynthia L Johnson-george | Psychologist | 685 E California Blvd, Pasadena, CA 91106-3847 | 2007-05-26 |
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| 1235778614 | Jessica Herbold | Psychologist | 1044 Sir Francis Drake Blvd Ste 7, Kentfield, CA 94904-1454 | 2020-01-02 |
| 1003478405 | Melissa Berrenge-browde | Psychologist | 820 Bay Avenue, Suite 205, Capitola, CA 95010-2102 | 2019-07-05 |
| 1811555840 | Rebecca Cole | Psychologist | 5149 High Meadow Court, Fremont, CA 94536 | 2019-06-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.